TOP RANK REVIEW ACADEMY * NLE “NCLEX * CGFNS * HAD * PROMETRICS * DILA * MIDWIFERY * LET * RAD"TECH * CRIMINOLOGY * DENTISTRY * RECALLS EXAMINATION 12 NURSING PRACTICE I COMMUNITY HEALTH NURSING NOV 202? Philippine Nurse lieensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box foreach question on your answer sheets, Two or more boxes shaded wil ialid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examines ID/Answer ShéetSet. 5. White the subject ttle "NURSING PRACTICE I” on the box provided “Studion: The Philippines Is one of 18 megeiclivese countries of the world, containing two-thirds of the earth's DiodWversty and between 70% and 80% of the worlds plant and anil species. The Prilipines ranks fith in the number of plant species and maintains 5% ofthe world's fora. One of the benefits of this is having herbal plants that can be used a= alternative medications for communities who have limited access to western medicines. 1. Joeds has been experiencing a productive cough for three days now and is compaining of difficulty breathing especially when he wakes up. What herbal medication is appropriate for his condition? 2. Teaang Gubat b. Laguna c. Bayabas 4. Akapulko 2. In Barangay Siyudad, itis estimated that eleven community folks have Diabetes ‘Insipidus. Suppose they have no comorbidities, what herbal mecication can be prescrbed to them? a. Allium sativum (Bawang) b. Momordica charantia (Ampalaya) . Psidium guajava (Bayabas) 4. None of the above 3. This herbal medicine is administered by eating the seeds of rnewly-opened, mature, and dried nuts two houts after supper: a. Akapulko b.Niyoo-niyogan c.Ulasimang bato 4. Sambong 4. Jaylord, 7 years old, just had his tu What /heroal ‘medication/s can be alven to him? SATA 1. Yerba buena 2. Bayabas 3. Ampalaya 4. Baweng A 2&4 3B. 182 C.None of the above D. Allof the above. 5. For Akapulko to be used, it is usually poundedliand. squeezed The juice, the used to? Encourage urination in dents with edema b. Relve thine rom scabies . Lower uric acid in clients with gout 4. Excrete parasites, specifically in Ascaris 6. This mandates devolution of basic services from the rational government to locel government units, allowing them to facilitate health service delivery from provincial health level down to the barangays. a, RA. 7600 b. RA. 7160 e RA.9003 4. RA.11223 7. The Loe Government Code of 1991 has the major goal of? ‘a. Strengthening local government units . Allowing greater autonomy to local government units Making basic services more accessible to the people 4d. Empowering the people and promoting self-reliance 8. Under RA. 7160 Section 102a, who is the chairman of the Provincial Local Health Board? a. Mayor b. Governor Provincial Health Officer d. DOH Representative n the province 9. One of the participants in 2 hilot training class asked you to whom she should refer a patient in labor who develops 2 complication. You will answer, to the ‘2. Municipal Health Officer Bb. Rural Health Midwife Public Health Dentist d. Public Health Nurse 10. If @ Rural Heath Unit needs an additional midwife, 2 request willbe submited to whom? ‘a. Rural Health Unit b.Dictrict Heath Office Provincial Health Office d. Municipal Heath Board Situationf/Part of the public health nurse's roles\is tp actively participate in research to continuously advance and contribute tothe professior’s evidence-based science and art. ‘A group of neil licensed nurses is conducting a study on the ~ifectWeness of neurotonic administration in the passing rate OfN.LE. takers” 111. Which of the follewing is the independent variable? ‘2.__Neurotonic administration b. Passing rate NILE. takers d._ Effectiveness 12. Whichyaf the following is the dependent varizble? ‘2. Neurotonic administration b. Passing rate © NLE. takers d._ Effectiveness 13. Which desion would be the most suitable to use for the study? 2. Comparative b. Correlational c. Methodologeal d. Phenomenoiogical 4 | Poge14. If the researchers hypothesize that administration of rneuratics postively influences passing rates, they are stating what type of hypothesis? a. Directional, complex b. Non-directional, complex c. Non-dlrectiona, simple 4. Directional, simple 15. Which statement applies the principle of justice in. conducting research a. Informing the client atout the risks afid benefts of the study Ensuring that participants’ identities will not be disclosed c. Allowing participants to withdraw anytime they wale 4. All participants will receive thowsame treatment throughout Situation: Rabies is endemic in the Philippines, and remains to be @ public health concern, It has a fetality rate.of almost 100%. However, being the most fatal among infectious diseases, rabies too, is 100% preventable, 16. In order to control, prevent the spread, and eventually eradcate human and animal rabies, the courtry passed what republic act? a. RA.6173 b. RA. 9262 ©. RA. 7600 4. RA. 9982 17. Under Section 5 of the Anti-Rabies Act of 2007, what are the responsibilities of a pet owner? SATA a. Have thelr dogs regularly vaccinated against rabies b. Allow dogs to roam the streets or any public place at night Shoulder halt of the medcal and other incidental ‘expenses incurred from dog bite Submit their dogs for mandatory registration None of the above ace be acd All ofthe above 18. While playing. and smooching with her puppy, Tarya recaived superficial seatchos without bleeding on the right side of her neck. According to the DOH's Manual of Procedures for National Rabies Prevention and Contol. Program, this can be classified as what category of rabies exposure? a. Category L >. Category It c. Category IIL 4. Category IV 19, For adults and infants, the recommended sites for Vacone administration would be? a. _Deltoid for adults and anterolateral thigh for infants b. Anterolateral thigh for adulte and deltoid for infants Cc. _Deltoid for adults and gluteal for infants 4. Gluteal for both adults end infants 20. In the Philippines, the most'common reservoir for rabies is? a. Domestic dogs b. Raccoons c. Saliva of infected mammals 4. Humans Situation: Therapeutic communication is vital for a commurity health nurse to provide the necescary care to the community. AAs public health nurses, we shall continue to improve the wellbeing of all Filipinos in the years to come as we transform the health system into an engine for real social development. 21, All are GOALS of FOURMula ONE for health except? 2, Better health eutcomes b. More responsive health systems Equitable health care financing d._ Free healthcare services 22. The four clements of the strategy include all of the folowing cen? Health financing Health requlation Health restriction Health service delivery ‘Good governance 23. Allof the foliowing are corsidered intermediate level health workers exc Health auxiliary volunteers Public health nurse Rural sanitary inepectors Midwives Bog» 3e padee 24, This level of health care includes facilities capable of eHférming. minor surgeries and perform some simple laboratory examinations: ‘a. Primary b. Secondary «. Tetiary G. Quaternary 25. Yumi, who has a fami clinic in her house, belones to what level of heath care and referral system? ‘a. Primary b. Secondary < Tetiary d._ Quaternary Nurse Alanis has beenidesloyed as the lone publc health nurse in their rural health unit. 26. As part of her job, she visits homes and refers patierts to ‘appropriate levels of care when indiceted, She Is performing What function? a. Supervisor b. Educator Manager @. Coordinator 27.Assessing, planning and implementing care, and evaluating ‘outcomes are part of her? ‘2. Health promotion and education function b. Collaborating and coordinating function Nursing care function G._Training function 28.-Nursé Alanis was asked by the Municipal Health Officer to ‘assess training needs and design training programe for midwives and other auxlity workers. Addtionally, she ‘conducts them in colaboration with other resource persons. In ths revardshéis performing as? a. Supervsor b. Manager & Trainor 6. Coordinator 29.eMfeover, Nurse Alanis elso visits midwives end other ‘auxiliary health workers and identifies, together with them, ‘any issue or problem encountered for it to be addressed Brno. Shejaperoring whet functor? ‘Supervisor Manager Trainor (Coordinator pose 30. As patt of her advocacy of creating a supportive environment, Nurse Alans influences the Sangguniang Bayan to build a biking or waking lane in the community. She is performing what function? ‘2. Health promotion and education function . Collaborating and coordinating function Nursing care function d. Training function 2 | PoveSituation: Tuberculosis (TB) is considered as the world's deadliest disease and remains as a major public health problem in the Philippines. 31, Which of the following are common signs and symptoms OF tuberculosis? SATA 1. Unexplained weight loss IL Coughing for more than two weeks TL Hemoptysis IV. Night sweats Vi Chest or back pals not referable:to"@iiy musculo- skeletal dsorders 1,0, 101, 1 11 TH, V,V 1,10, 1V,V. Al of the above 32, After a month of treatment, Jessa complains of orange- colored urine. Nurse Gera knows that the medications causing) this and the appropriate intervention are? a. Ethambutol - increase OFT ti at least 2L per day . Rifampin - Reassure patient that this is normal Isoniazid - Refer to physician 4. Pyrazinamide - Give aspirin as prescribed 33. Jesse has been taking anti-TB drugs for 7 months now. Lately, she has been experiencing burning sensation in her Feet, prompting her to vieit their RHU. Nurse Gera is correct if she states that the drug responsible for this is? a. Rifampicin b. Isoniazid ©. Pyrazinamide 4. Ethambutol 34, After reading the prescription that Jessa’s doctor has given her, what would Nurse Gera provide Jessa to aid in the nursing sensation in her feet? a. Vitamin Bl 50-100 mg daily . Vitamin B6 50-100 mg daily ©. Vitamin B9 50-100 mg daily 4. Vitamin B12 50-100 mg daily 35. If Jessa suddenly experiences impairment of visual acuity and color vision, the nurse woulé? a. Provide her eye drops . Encourage her to eat more Vitamin A-rich food €. Adve her to hold Ant-TB drugs and refer to ohysician immediately 4. Reassure patient that this I6'@)nonral side effect of her treatment Situation: "Family" is definédhas the basic unit of the community. All members of the family are empowered to ‘maintain their health status. They must be free from disease or infirmity with no disabilities. In the public health perspecuve, the health of the family is considered as a whole and not individually (Public Heath Nursing in the Philippines). As part of SOG Target 3.1, nurses must B8lactive in the promotion of the Maternal Health Program to improve the survival, health and well being of mothers and unborn children through @ package of services for'the pre pregnancy ,prenatal , natal and postnatal stages. 36. All of the following are included in the essential Health pactage une: the maternal hea program excep vitamin A supplementation of 10,000 IU twice a week: starting on the third week of pregnancy. . Iron supplementation of 60mg/400 ug tablet daily ©. Series of 2 doses of Tetanus Toxoid vaccination ene month before delvery and 3 booster dose shots following recommended schedule 4. At least one prenatal visit per trimester. Aftewhich, prenatal visit of every two Weeks after eighth month until delivery 37. As part of giving supportive care for the mother during ‘onset of labor and to help her deliver cleanly, safely, and free from fatigue, the nurse must encourage her to? SATA “Take a bath at the onset of labor Drink moderate amount of liquids atihuge meal for energy storage Held bladder an, bowels Empty bladder every 2 hour eeform breathing techniques speege © 68, ED, &F All ofthe above 3Glldditionally, as 2 health educator, nurses must inform, teach and counsel women in labor on important MCH messages which include? Birth registration 11 Importance ot BF Til)pNewbon Screening within 48 hours|Up to 2 weeks after bith IV. Schedule of postpartum visits ‘Allexcept A Mandi Wand I Allof the above 30. Since the risks of complications increase after the seconé birth, the ideal spacing of birth to help mothers compéetely recover from previous pregnancy and childbirth would be? ‘a. One to three years b._ Two tofour years, Three to five years d. Four tosix years 440, After Gab gave birth to her first child in their RHU, Nurse MC knaws that the recommended schedule of postpartum care visits would be on? @. first week postpartum, preferably 3-5 days, for the first vist; 4 weeks postpartum for the sacond visit first week postpartum, preferably 3-5 days, for the first vist; 6 weeks postpartum for the second vist second week postpartum, preferably 10-112 days, for the first visit; 6 weeks postpartum for the second visit 4d. second week postpartum, preferably 10-112 days, for the first visit; 4 weeks postpartum for the second visit Situation: Additionally, nursesimiist aiso be actively involved in promoting Family:Planning and address the need to help couples andsindlviduals achieve thelr desired family size within thescontext of responsble parenthood and improve their reproductive health to attain sustainable davelepment. Nurse Ashley is visting family Santos: “41. Moses andGathy, the family’s heads, ask about sterilization rocedies, Which question should Nurse-Ashley ask the ‘couple to deteimine the most appropriate family planning method? 2. “Have you evétlhad surgery?” b._“Doiy6u plan to have any other chicdren?” “*Doeeither of you have diebetes malitus?” d. “Do ether of you have:problems with high blood pressure?” 42. ThescoUBle then asks urse Ashley which method of ‘contraception is the best for them to use. Whicr responce by murs Ashley wuld te most 2opropiat? The pil is the best because itis 100% effective with, few side effects.” b. “The best method is the one that you both agree upon and will use consistently.” “The condom is the best method because it prevents diseases as well as pregnancy.” d. "No. method is completely effective; you should practice abstinence until you are ready to have children.” 3 | Pose43, Cathey asks Nurse Ashley about what would happen in case she gets pregnant after being sterlized. What would Nurse Ashley respond with? a. Congenital malformation D. Ectopic pregnancy c. Neonate SGA 4. Placenta previa 44, Moses exoresses concern on his sexual functioning) and pleasure in sexual activities in case he undergoes vasectomy. \What is the most appropriate response by Nurse Joe? a. "What's more important? Your personal needs or your wife's happiness?” . “You will nt lose your sexual ablity. The pleasur Will return after a year of recovery” c. "You can have better sex sinc® there is no fear that your wie will get pregnant” 4. “You dorit need to get bothered by that. There is more to life than sexual needs.” 45. Moses and Cathey ask about the effectiveness of condoms. What is the most important information about condoms should Nurse Ashley provide the couple? a. Always use Vaseline as a lubricant. b. Apply the condom to the penis right before ejaculation. You do net need a medical prescriptin for condoms. 4. The condom must be applied before any penilevaginal contact. 46. Cathay proceeds to ask Nurse Ashley if oral contraceptives have any side effects. What is the best response for Nurse Ashley to make? 3, *Nauzea, fluid retention, and weight gain.” b. “Why do you ask? Look at the benefits.” “Are you concemed about someting?” 4. “Increased libido, decreased breast size, and diarrhea.” 47. If Cathey would take progestin-only contraceptive for birth control, Nurse Ashley would intrust her to? a. take the drug the Sth to 30th day of each monthly menstrual cydk. use 2 barrier method of contraception for 4 months after starting the drug. c. wait 3 months to get pregnant after she stops taking the drug. 4. stop taking the drug if she experiences a menstrual period. 48. In dscussing basal body temperature with Moses and Cathey, which change would indicate protable ovulation? 2.” Adecrease in temperature followed by an increase for several days |An increase in temperature followed by a decrease for, several days |A decrease in temperature that remains until menses: begins | steadily increasing temperature over Seven days 49. Moreover, if Cathey desires to use the basal body temperature method for family planning, Nurse Ashley should instruct her to do which of the following? a. Check the cervical mucus to see iflitlis thick and sparse. Take her temperature at the same time every morning, . Document ovulation when the temperature decreases at least 1°. 4. Avoid cotus for 10 days after 2 slight rise in temperature. 50. A 19-year-old nuligravid dient visting the clinic for a Toutine examination asks the nurse about cervical mucus changes that occur during the menstrual cycie. Which of the following statements would the nurse expect to indude in the liens teaching plan? a. About midway through the menstrual cydle, cervical ‘mucus i thick and sticky. During ovulation, the cervix remains dry without any ‘mucus production. {Eppes ovation approaches, cervical mucus is abundant ‘aniiciear. . Cervical “Mucus. disapoears immediately after Owlation, resuming with menses. Situation: Community/ public health nursing isthe synthesis of hursingyprzctice and public health practice. Tt shoud be the ‘Goal OF Every Filipino nurse to preserve the health of the ‘community and surrounding population by focusing on heslth promotion and health maintenance of individuals, families, and sor0ups within the community. 51) Thisepore, various defiritons of health according to diferert sources. Murray stated that heath b? 2. “2 State of complete physica, mental ane social wel-being and not mere the absence ‘of diseese or infmity.” Bptadualzation of inherent and accpired humani-spetential through —goal-directes behavior, competent sefcore, end satisfying relationship with othes. . "a state of @ person that is Characterized by soundness or wholeness of developed human stuctures and of bodly ard mental functioning.” 4. “a state of wellbeing in which the person i abe to Use purposelul, adaptive respanses and processes —_ physically, mentally, éotionally,sprtual, and socal” 52. Similar to health, there are various definitions of ‘community. According to Shuster and Geoppinger, the ‘community s? ‘2. “a collection of people who interact with one another and whose common interests or Characteristics form the basis for a sense of Lnty or belonging.” a group of people who share something in common and interact with one anether, who may exhibit a commitment with one another and may share a geographic boundary.” a group of people who share common interests, who interact with each other, and who function collectively within 2 defined social struct to address common concerns.” da loclitybased entity, composed of systems of formal organizations reflecting society's institutions; informal grcups, and aggregates.” 53. 1n2013) Maurer and Smith introduced two main types ‘of communities. Which among the following is the best definition of Phenomenological communities, except? 2. cTtisi@lvided into barangays, municpaities, ‘cities, provinces, regions, and nations. ,Itis 8 community that is functional. It refers to relational, interactive groups, in which the place or setting is more abstract 4d, oltfefers to the setting where people share @ ‘Group perspective or identity based on ‘cure, values, history, interests, and goals. 54, Which among the following best describes the difference between community and public health ursing? ‘a. Community health nursing refers to a service rendered by @ professional nurse with communities, groups, femilies, and individuals at home, in health centers, in clinics, in schools, and in places of work for the promotion of health, prevention of illness, care of the sick at home and rehabiltation. 4 | Poge‘The employer of the Public Health Nurses is, the government. Community health nursing is broader than public heelth nursing. Public health nursing refers towsithe popution-focused practices of nurses employed which is a/ Service available to all people and is the care of the poor. 55. Which among the following best describes the comparison between Community Health and: Communty-based Nursing? a. Both of them fave the community 2s their, primary clents. Community-based Nurcingsfodises on the preservation and protection of health © Community-based Nursing also emphasizes maneging acute and chronic diseases Community-based Nursing focuses: of the ‘community as clients Situation: Epidemiology is the! backbone of the prevention of diseases. The following questions apply. 56. The nurse is tasked to assist in the epidemiological investigation. Which of the following questions should the team ack first to gude them in the epidemiological investigation? a. Js the reasonably complete? b. Are al of these due to the same disease? © 15 it prompt enough so that cases reported to date represent 2 fairly accurate picture of the present situation? Js there an unusual prevalence of the disease? 57. The Mult-causation theory implies that each of its components must be analyzed and understood to, predict and understand the pattern of disease. The following are true regarding the epidemiologic langle, except: a. | Any minor change in any of the components wil change the existing equilibrium to increase the disease frequency. be The organism thet harbors and provides nourishment fer other organisms is the host The most helpful to the nurse since it also highlights the Environment in disease causation, The nurse considers the communityias.a host. 58. Understanding the natural history of discaze will help the nurse and the people institute measures to prevent gathologic processes from further evolving, The following are true regarding the stages of the natural history of dsease, except: 2. Discarnible lesion is the stage wherein scresiing of changes Sccurs through laboratory tests Ih early. pathogenesis, early sions and symptoms are observed to be developing. Ih the advanced disease stage, the ‘anatomical or functional chafiges. already ‘created detinguichable sign and eymptome 4. In susceptibility, there are factors thet favor the incidence of disease 59. The epidemiological approach consists of 4 phases: descriptive, analytical, intervention, and evaluation. The following are true regarding the epidemiological approach, except: a, Senstivity measures the probability of the test correctly identifying postive cases (true- positive). The attributable risk gives information regarding the absolute eect of exposure. Ifa prospective cohort wil be employed, the measure of disease frequency to be used will be the incdence rate, The retrospective cohort uses the prevalence rate as @ measure of disease frequency. ‘Gm Screening, used in describing the disease Condition, is done to look for previously Unidentified cases of diseases. 60. The HeniKech postulate states that a cause of the disease is any event, condtion, characteristc ot combination of these factors that play an important rake in producing the disease. The folowing are true regarding the concest of causal ard association, except: 3. Spurious is the association when none actually exis. >. A reinforcing factor is any reward ot punishment as a consequence of a health behavier The concept of assocaten implies @ causa relationship. 4. The enabling factor is any characteristic that, makes possble a certain health behavior. SITUATION: Community organizing is the development of the community’ collective capacities to solve its own problems and aspire for development through Its own efforts. Nartha, a PHN, is a community organizer. The following questions apply. (61S PUBIICHESIMN Nurse, Martha is aware of the core principles of community ergarizing, which is first and foremost: A. process of change is achieved in community organizing b. Community organizing shall empower the disadvantaged populetion. © Community organizing is directed toward changing the current undesirable conditions. Gd. People are the means and ends of development. ANS: D. People are the means and ends of development. RATIONALE: the basic premise of any community organizing endeavor is that the people are the! means and ends of development, and communityémpowerment is the process and the outcome. ‘SOURCE: Famorta, pp.63-64 62, Martha and the community are said to be in the entry phase of COPARs She is considered to be Imolementing the following, except 2. Formally stated the orgarizing process. b. Makes a courtesy call to both local formal ‘and informal leaders: ‘c. Conducting an ocular survey. d._Getting to know the community and vice versa. 63, Martha knows notite)Gonsider the two strategies for ‘gaining entry into the community that are said to be ccounter-productive, according to Maralili (1990), as ‘ited by Famorca (2013). The strategy that ic seen as the easiest way to gain the approval of the ‘community is caled: a. Bonga b. Padrino Fiesta 1d. Sponsorship 64 Martha, being a PHN, krows the different styles of integration according to Manalli. The integration style that refers to visitng the community per the schedule but is not able to transcend the guest statusis: ‘2. “Boarder” b. “Eltist” 5 | Poge© Now yousee, now you dont” 4. None of the options 65. Martha uses informal conversations to_be.ablélto integrate around the community. This Is referred to as Pagbabahay-bahay Huntahan Participation in the production process Participation in social activities 56. Martha is currently developing the management systems and procedures, including the delineation of the roles, functions, and tasks of offices and members: of the Community Heath Office, She is said to be in what COPAR phase? a. Community organization b. Community diggnosis © Entry 4. Community action ANS: A. Community organization. RATIONALE: Community organizing and cepabiity training includes the development of the management arocess, election of officers and members, discussion of the roles and functions, land meets for the Action-Reflection-Action sessions, SOURCE: COPAR by Sr. Carmen Jimenez 67. Martha is conducting a team building and the action= ‘eflection-action. She is said to be in what COPAR phase? a. Community organization b. Community diagnosis .Sustenance and strengthening 4. Community action 68 Martha is in the initial identification and ‘mplemertation of resource mobilization scheme. She is said to be in what COPAR phase? a. Community organization b. Community dizgnosis .Sustenance and strengthening 4d. Community action 59. Martha is formulating and ratifying the constitution and by-laws, She is sald'to be in what COPAR phase? a. Cornmunity organization b. Community diganosis ‘c> Sustenance and strengthening 4. Community action 70, Martha with the local researcher is now prioritizing the community needs and problems for action. She is. said to be in what COPAR phase? a. Community organization b. Community diganosis ¢.Sustenanee and strengthening d. Community action SITUATION: IMCI is @ Strategy that integrates all available measures for disease prevention’ and health problems during childhood, for their early detection and effective treatment, and for promoting healthy habits within the family and community. 71. The IMCI clinical guigetines, which are based on expert clinical opinion and research findings, are: intended for the management of: a. Sick children aged 1 week up to § years b. Sick children aged 1 month up to S years ©. Sick children aged 1 yeer upto 5 years 4. Sick children aged 1 day up to 5 years 72. Sasha is a child who has had a chronic cough and difficulty breathing for more than 30 days. This could be indicative of: ‘a. Asthma or bronchitis b. Pneumonia Severe pneumonia Influenza 73, Tisome cases, especialy when a child has wheezing ‘when exhaling, the final decision on the presence or ‘absence of fast brésthing can be made after a test with @ rapid-acting bronchodlator (if avaiable). ll but one are trueiin the care of child with wheezi Gre 2 puffs (1O0vg/puit) of salbutamol meted dose intaler. b. Repeat the bronchodilator up to 3 times every 15 minutes before classifying pneumonia. If the inhaler te being used for the fist time, it shouldbe primed by 4 to 5 extra puffs. d. A child under tive. years 's usually given an inhaler without a spacer. 74, Baby lopet is reported to be having loose stools for fours days, raking her mother bring him to the health center. Upon assessment, he was observed te have 2 sluggish behavior and does net readily respond to touch. Joseph Is classified asia severe detydration case. The preferred IV fluid to be administered is: ‘a. Wolucose water b. 0.9% NaCl © 0.25% Nach ._ Ringer's Lactate Solution 75) Ninoy) /¢hild)e6 brought to the health center, has been experiencing darrhea for 6 days. There is no blood ip the stool. He ic irritable and her eyes are sunken, The nurse offered fluids and the child crinks ‘eagerly. How would you classiy Nino's liness? ‘a. Dysentery b. Some dehydration © Severe dehydration 1d. Nodehydration 76. Nino was reported to have no blood in his stool but in Cases vihere blood is found int the feces of the child, the recommended antibiotic for bloody diarthea management ist ‘2. Ciprofloxacin BID for 3 days b._Naiidixic Acid QID for 5 days Cotrimoxazole BID for 3 days d. Metronidazole BID for 3 days 77, Along with increased filids and continued feeding, all chidren with diarrhea should ke given: ‘a. ORS for 2 weeks 'D. Zine supplementation for 10 to/14 cays c Vitamin A supplementation for 2 weeks d. Mebendazole for 10 to 14 days 78, Toffe@ Was visting Barangay Quito known to be ‘endemic with Malaria, One of the children, Cala, Drought to you has a temperature of 380C, lethargic, ‘and resistance is noted on neck flexion. This is a case of @._ Severe febrile disease b. Severe malaria Vey severe febrie disease/malaria a. Malaria 79. Appropriate interventions for this case of Cala in the previous question are: 1. Give first dose of quinine. I. Give first dose of appropriate antibiotic. Ill. Give one dose of paracetamol for high fever. IN. Give first dose of chloroquine V. Refer urgently to hospral a. 1,0, 10, 1V b. 11, VV 6 | Pove80. In malaria risk areas, when a child presents with fever Dut ro runny nose, no cough or other possible cause of fever, he or she may be dassified as: a. | Very severe febrile disease: pink b. Malaria: yellow .Fever-malaria unlikely: green 4. Febrile disease: pink SITUATION: Ms. Belle and four other staff nurses are subjects of an administrative case filed with the Board of Nursing because of malpractice. The relatives daim that there was fallure to render proper nursing managemont when the client was having asthmatic attack. 81. Ms. Belle and the four staff nurses are considered which of the following? 2. Accessories b. Respondents © Accompanies 4. Complainants 82. During the investigation, it was decided to call the nursing assistant to testify what she knowns about the case. The NA can be asked to give evidence at a witness in cout in which of the following? a. Injuction b. Subpoena © Subpoena duces tecum 4. Subpoena ad testificandum 83, The patient who fled an administrative case against the nurses are considered which of the following? a. Defendant b. Accomplice Accessory 4. Complainant 84, Together with the nurses, the doctor assigned to the patient was sued. When it was his turn to testify at the next hearing, he wes instructed to bring a copy of the patient's chart with him. What legal order will the hearing officer have to issue to compel the dector to bring the patient's chart? ’,_Injuction b. Subpoena © Subpoena duces tecum. 4. Subpoena ad testificandum 85. IF found guilty of negligence, the Board af Nursing will most likely: 2, Sentence her for lfe imprisonment b. Revoke Ms, Bell's icense . > Subject her to a 5 year imprisonment 4. Demand a Php 40,000 fine SITUATION: Bioethics is the study of éthical, social, and legal issues that crise in biomedicine and_ biomedical research Bioethical challenges that nurses face frequently entail birth and death situations. 86. Active or positive euthanasialnis. the intentional termination of a patient's life. Which of the following « positive euthanasia, except? a. Administering a criminal substance to hasten death. Not doing CPR nor administering oxygen after a reported cardiac arrest. Removing life support system to. alleviate prolonged suffering. Prescibing an agent that would result in death. 87. For the first time, the Philippine Human Rights Commission recommends that abortion be decriminalized. Which of the following abortion statements is correct? ‘a. Abortion is acceptable if done for therapeutic reason. Nurses are legally obliged to assist in abortion. Abortion is legally permissible before the end lof the 3rd moth. d. Abortion is absolutely illegal in the Philippines. BBpThe subject of organ transplant is! one_bioethical ‘contem that has recently emerged in the country. An ‘organ, such asia kidney, that is to be transplantec may be taken orly from the donor: ‘a. Within 48 hours after death, b. When an EEG shows no evidence of brain activity. . Afterrespirction and pulse ceases. d. Only afer permission is obtaned from the nurse. 80, It ic best for a nurse whose personal philosophy is ‘contradictory tolbirth control measures to do which of the following? ‘a. -Regognize the rights Of other individuals not to hold the same beliefs as hers. b. Explain the personal belief prior to discussing birth control measures with the client, &. Ack the client to consider her desire for birth control information. 1d. Request for anotier nurse to do birth control counseling. 90.) Which\oF the\folowing factors have increased ethical decision-making problems for nurses? ‘a. changing reigious views . changing technology changing moral standards d._ changing career opportunities SITUATION: As a future registered nurse, you should be able to equip yourself with the right concepts of professional ‘adjustment in nursing. The following questions apply. ‘91, Caring is the most important duty of a nurse. This is demonstrated when a nurse ‘a. Apply @ specific, quantifiable, and patient- centered pian before making 2 clnica judgment on an individual, family, or community based on 2 purposeful systematic gathering and analyzing of data procedure, Listens, uses citieal thinking skile, and colects evdence before making chnical ‘decisions on the client's reapense to real of Potential health issues or needs & Spectty short-term, intermediate-tem, anc long-term goals as agreed upon by the nurse and patient, flowed by objective data ‘obtained to identify the patient’: physica status, imitations, and assets. 4. Interviews the patient, family members, or significant other,-and immediately followed by carefully and. condsaly recording the patients responses to nursing interventions. {92 Which of the following is the process in nursing which determinines and maintains competence and Professional growth the most? ‘2. Seeking certification for clinical practice b. Credentialing ‘¢ Paying annual PNA membership fee d. Maintaining clinical competence 93, Anne is reading the guidelines for the adrrission for licensure examination for nurses. To quality, she must meet the folowing: 1. Filipino citizen, at least 19 years old, graduate from 2 recognized college of nursing 2. Good moral character, Filipino cizen, at least 18 years old 7 | Poge3. At least 18 years old, Filipino citizen, one year clinical experience after BSN graduation 4. Good moral character, has reached the age of majority, applying for Filipino citizenship and currently a citizen of US, which permits Filipino nurses to practice in their country"and: has a similar registration requirements. a 123 b. Zonly © Dandé 4. Allofthe above 94. 1After passing the board, the nurse shall be required to a. Upload it on social meda and caption “feeling blessed #TTBE #WAGMI" b. Enter into a social contract Fulfil registretionand get isfher PRC lense 4. Request for certificate of registration and) board rating 95. An examinee who obtained af average of at least rating of 75% or higher but with a rating of below 60% in any subject shall be required to teke the ‘examination again but only on subject where he/she is rated below 60%. This examination a. Shall be taken within two years after the last falled examination b. Shall be taken immedately after the last falled examination Shall be taken after two years after the last falled examination but not longer than 4 years Shall be taken after two years after the last falled examination 96. To be a Military Nurse or to be 2 member of the Philippine Army Nurse Corps a nurse must be I. Natural-born Filipino ctizen; Tl. 21 to 26 yeers old upon admission; IIL. Sagle and never been married; never borne or sired a chil 1. Good moral character \, Heght of not less than 5'4 ft. both for male and female, but not more than 64” VL. At least one (1) year hospital experience in DOH accredited Level II hospital; Vil. Passed the Armed Forces of the Philippines Service Aptitude Test (AFPSAT) a. All ofthe above bo LILLY, VI, VIE ¢ 1M, v, Vi vit 4. 10, 0L,N,V,VL 97. The nursing graduating students aré Wondering who would be the next dean of the college of nursing, ‘among the faculty. The dean of edlege of nursing) must be 2 Fligino citizen and: 3, Holder of current registration, MZED, 5 years teaching experience RN, MAN with Smos clinical experience RN, MD graduate with 10 years nursing practice/ experience None of the above 98. To apply for nursing specialty in the Philippiesa, nurse must have a certification issued by a. SCC b. PRC © BON 4. PNA 99, The leading causes of lawsuits against staff nurses are related to basic and common nursing procedures. How can similar awsults be prevented? a, all nurses should have malpractice insurance b. all nurses should be properly oriented to the wards where they are assigned nursing actions should always be based on standards . nurses should always follow hespital policies 100.Aside from a competent adult, who else can legally {gWVE their consent for heath care? I. somebody viho,holds a durable power of attorney Ta married Muslim woman 111. mature minor 1Wipppaxent of a minor child 2,34 12,4 Allof the options 14 8 | PoseANK REVIEW ACADEMY LET * RAD TECH « CRIMINOLOGY * DENTISTRY * TOPE RECALLS EXAMINATION 12 NURSING ICE IL CARE OF HEALTHY / AT RISK MOTHER AND CHILD NOV 2023 Philippine Nurse Licerisure Examination Review ‘GENERAL INSTRUCTIONS: 1. Ths test questionnaire contains 100 test questions z 2. Shade only one (1) box for each question on your answer sheetsawo or moe boxes shaded will invalid your answer. ‘Sheet Set. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examines I 5. Write the subject ttle “NURSING PRACTICE II" on the box previ ‘Stuation: Eriksovs psychosocial theory states that personalities develop ina series of stages, describing the Impact of social experience across the whole lifespan. Erikson wae interested in how secial interaction and relationships played a role in the development and growth of human beings. 1. Renz and Richa, who just had ther first baby a month ago, asked Nurse Rei on how they can meet the basic needs of Baby Eri. Based on an understanding of Erikson’s stages of psychosocial development, Nurse Rel would tel them to? a. Provide the infant with entertainment and stimulation for psychological growth . Talk with the infant during the tmes when the infant awake . Hold the infant in 2 way the infant prefers 4. Attend to the infant's need for comfort, security, predictability, food, and warmth 2. After three years, Renz and Rcha told Nurse Rel abeut how their daughter, ry has been rebeling constantly and having temper tantrums. Using Erkso’s psychosodal development theory, which instructions should ‘Nurse Rel provide E's parents? Select al that appl ‘2. Setlimits on the chia’s behavior. 5. Tgnore the chi wen this behavior occurs ¢. Allow the behavior, because ths is normal at this age period. 4. Prove a simple explanation of why the behavior is unacceptebe, Punish the child every time the child says "no" to change the beravor. A ae 3 cad C acad D. None ofthe above 3. Nurse Rel is asessing Es psychosocial developmental evel Using Enison’s eight tages. Which of the'folowing benavios wwould Nurse Rei most ikely find if Eri were demonstrating being in shame! and. doubt instead of ‘having mastered autonomy? 2. Dependercy and const looking to others for approval 5. Sleep disturbance, crying, and vemting €. Always imitating otners rather than using magiation 4. Frequent crying, emotional outbursts, and whining 4. The parent of an 8-year-old child tolls the clinic nurse of @ concern that the child seems to be more attentive to friends than anything else. Using Erikson’s psychosocial development theory, the nurse would plan to make which response? 2. "Youneed to be concerned.” b. “You need to monitor the child's behavior closely.” c. “At this age, children are developing ther own personalities.” 4. “You need to provide more praise to the child to stop this behavior.” 5. In accordance with Erisons theory, te main task associated with Nora, a 16 year-old female who refuses to do what her parents want her to do, who would be? ‘2. establishing intimate bonds of love and friendship b. fufling life goals that involve family, career and society, locking back over one's life and accepting its meaning d. developing a sense of identity 6. The nusse has noticed that her S-year-olé male patient docs not recognize thet his toy exists even when is outside his visual field. Noting this, what action should the nurse perform? a. Notify the physician about the observation. B_Bring the toy within the cid’ field of vision. Instruct the chile to scan his environment carefully 4. \Provide the child with access to the Ighting during eying 7. The mether reported concem about her 6-yea-old son, who ‘appeared more interested in his classmates than anyhing Based on the mother’s concem, how should the nurse respond? '2. You should be armed. b. Younneed to monitor your sons behav. At this age, chldren’are-currenty developing their personalities. 4. You neadsto(GNe the child more praise to stop this beaver. eNURE Mara is observing the actvty ofa 5-yéar-old patient. Which of the folowing is the most common observaton inthe Bly avy tis ag up? Peys. alongside but not with paymates, using) @ pounding bench and playing with a musical toy. q@)B) Pays with others, abiding by-rules, making up ficitious friends, and engaging in fantasy play. Plays with puppets and particbates in team sports. d. Plays by themselves in a corner, engaged in putting 2 puzzle together. egmThe nurse cares for 2 toddler patient who must ‘every afternoon for five days. Which of the following Is the most~age-apprepriate explaration for the toddler? aq Y0Ur mama will give you the medicine between 1:1 (ana 2:00 inthe afternoon. Each day until your cough is gone —b You will tzke your medicine every afternoon after your lunch, until your cough is gone. For a week, you will be taking your medicine in the afternoon, d. Every day at 1:00 p.m., your mama will give you your madicine until your cough is gone. 10, Which of the following four infants does the nurse consider tohave abnormal language development? ‘2. A 9-month-old who uses two-syllable sounds such as “mama” b. A 7-month-old who Is beginning to vocalize during play and pleasure 4 | Pogec. A 2-month-old who begins singing in the presence of familar sounds. 4. An 11-month-old who uses intentional gestures. 11. Which vehicle safety equipment is appropriate for an 82 year-old who is 4 feet tall? a, Booster seat b. Seat belt c. Front-facng convertible Seat 4. Rearfacing convertible seat 12. Using Erikson’s eight pheses, the nurseGvaluates a todder’s psychological development level. Which of the following would the nurse be mest likely to see ifthe child was exhibiting shame and doubt rather than having leamed: autonomy? a, Dependency and constantly looking to others for approval. b. Sleep disturbance, crying, and vomiting. c. Always imitating others rather than using imagination 4. Frequent crying, emotional outbursts, and whining. 13, The mother of a breastfed newbOi reported that her infant's feces is golden in color, pasty rather then firm, and smells strongly of sour milk. What would be the best course of action for the nurse to take? a. “You probably need to feed this baby some cereal to firm up the stool.” b. "Cut back on your fluid intake and be careful what you eat, 2s you pass this on to the baby.” c. "Tneed to check your temperature and your breasts to determine if you have a breast abscess.” 4. “This is a normal stool for a newborn who is breast- fed.” 14. When planning to educate a class of mothers about Introducing new meals during the first year of their infarts, Which of the following should the nurse include? a. Place up to three foods on the spoon at one time with {an old favorite on the front of the spoon b. Introduce fruits first; introduce one new frult per day until all fruits are introduced Alternate between offeting one spoonful of fruits and ‘one spoonful of vegetables Introduce one new food at a time at 7-day intervals 15, A mother is concerned about her S-year-old occasionally peeing in his undies rather than using the restroom. Which of the following questions shouldsthe nurse ask in order to ascertain whether ths s a typical ocairrence? a. “Do you remind your child to go tithe bathroom every 2 hours?” “Is this your firstborn child?” *Has your child started school already?” 4. “Does this behavior occur when your child is engaged in some activity?” 16, What information should the nurse tell to @ mother when Shing vitamins oa preschooer? Give the vitamine with sipe of mik. Bi» Give presthooks al a vitamin, Store the vitamins in 2 locked cabinet that the child cannot access. Allow the child to be. independent by self administering the vitamins, Situction: The prenatal nurse monitors the health statue 6Fthe. mother and fetus, provides emotional support, and teaches the pregnant woman and ner family about pnysiciogical and Psychological changes during pregnancy, fetal development, labor and childbirth, and care for the newborn (International Council af Nurses), 17. Nurse Alvin is assessing a woman who thinks she may be pregnant. Which information from the client is most significant In confirming the diagnosis of pregnancy? a. The client is experiencing nausea before bedtime and after meas. b. The dont says she has gained six pounds and her slacks are tight. The client has noticed it is dificut to sleep on her “stomach” because her breasts are tender. d. The client has a history of regular menstrual periods since age 13 and has a pesitive pregnancy test. 18, NUBE/Avns performing an assessment on Patient Wayne who suspects that she is preanant. Nurse Avin should assess for which probable signs of pregnancy? Selec all that appl. Balottement Chadwick's sion Uterine enlargement Postve pregnancy test Fetal heart rate detected by ar electron device Outline of fetus via radiography or ultrasonography A,B, C&D A,B,C, A,B,C,D,&E Dear 419, When Fatlent Wayne returned of her 38 weeks gestation, Auise Alvin notes that the fetal heart rate (FHR) is 180 beats/minuté. On the basis ofthis nding, what isthe priority nursing actor? Decument the finding. 1. Check the mothers heart. Not the health ear prover (HCP). 4. Tel the client that the fetal heat rat is normal. aoge-dange 20. After a whie, 2 nonstress test ic performed en Patient Wayne, and the results of the test indicat= nonreactive Findings. The health care provider prescribes a contraction stress test, and the resus are documented as negative. How should Nurse Alvin document this finding? ‘a. Anormal test result b. Anabnormal test result &Ahigh rick for fetal demise d. Theneed for a cesarean section 21. While resting, Nurse Alvin decides to teach Patient Wayne ‘on howto perform "kick counts.” Which statement by Patient Wayne indicates a need for further instruction? 2. “Iwill ecord the number of movements or kicks.” b. “Hones to lle flat on my back to perform the procedure.” AFI count fewer than 10 kicks in a 2-hour period, 1 should count the kick again over the next 2hours.” 4. “shoud piace my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks.’ 22. Whichsof ite following is the appropriate pregnancy Classification for Vilmawho has had her first pregnancy endec in a miscarriage at 9 weeks, second pregnancy deliverec ‘vaginally at 39 weeks of gestation and the child is 3 years old now, and is currently pregnant for the third time? ‘2. Gravide 3 para 11-0-1-1 DL Gravida 2 para 12-1-1-0 & Gravide 3 para 2 3-2-0-1-0 . Gravide 2 para 22-10-0 23. Erma.amivéS\at the clinic forthe first prenatal assessment. ‘Shestalls Nurse Justine that the frst day of her last normal menstrual period was October 19, 2018. Using Naegele's rule, which expected date of delivery should the nurse document in the client's chart2 @ Juy 12, 2019 b. Juy 26, 2019 © August 12, 2019 d. August26, 2019 24, During a prenatal vist, Nurse Justine evaluates the fundal height of the uterus to be at the umbilicus. Nurse Justine should estimate the gestation at ‘a. 16weeks. b. 20weeks. c. 24weeks. d. 28weeks. 2 | Pove25. Nurse Justine is performing an assessment of 2 pregnant client who is at 28 weeks of gestation. Nurse Justine measures the fundal height in centimeters and notes that the fundal height is 20 em. How should the nurse interpret this finding? a. The dient is measuring large for gestational ages D. The dient is measuring smal for gestational age, c. The dient is measuring normal for gestational age. 4. More evidence is needed to determine sze for gestational age 26. A 17-year-old primigravida cient at term is ih active labor. Examination revealed cervical dilatation at cm with 100% cervical effacement. Which of the following should the nurse assess the client for? a. Uterine inversion. . Cephalopelvic disproportion (CPD). c. Rapid third stage of labor. d. Decreased ablity to push 27. A 23-year-old primigravida client at full term isvin/active labor. Which of the folowing should be incorporated into the plan of care for this patient? ‘Oxygen saturation monitoring every half hour. Supine pesitioning on back Anesthesia/pain level assessment every 30 minutes. Vaginal bleeding, rupture of membrane (ROM) assessment every shift 28. A primigravide client who is in active labor arrives at a birthing facility. Examination revealed that the client Is at Lt station, and the clent’s membranes are still ntact. The doctor Drepares for an amiotomy. What are the most likely outcomes of amniotomy? 1. Less pressure on the cervix IL, Decreased number of contractions IIL. Increased efficiency of contractions IV. The need for increased maternal blood pressure monitoring. V. The need for frequent fetal heart rate monitoring to detect the presence of a prolapsed cord, mW, V 1,00 1, 0 I iV 29. A primigravida dient in active labor is expetiencing contractions that last $0, seconds every 3 minutes. The fetal heart rate in between contractions is 100 beats per minute. Which nursing intervention is best to perform? a. Report to the primary health care provider (PHCP).. b. Continue to assess the contraction €. Encourage the client to continue pushing with each contraction Instruct the client's couch to centinue to encourage: breathing techniques. 30. A primigravide patient in active labor is prescribed with scalp stimulation of the fetal head. What is the purpose of scalp stimulation? a. Assessment of the fetal hematocrit level b. Increase ia the strength of the contractions. c. Increase in the fetal heart rete and variablity. 4. Assessment of fetal postion. 31. The nurse is caring for a client in labor. Which assessment Findings indicate to the nurse that the clent is beginning the second stage of labor? Select all that apply. The contractions are regular, The membranes have ruptured, The cervix is dated completely. The dient begins to expel clear vaginal uid. The spontaneous urge to push is initiated from perineal pressure. A CRE BARE c C&D D. ABD 32, The nurse ie reviewing true and false labor signs with a multiparous dient. The rurse determines that the client Understands the signs of true labor if she makes which statement? ‘a. “Lwont be in labor until my baby crops” b. "My contractions willbe Fale in my abdominal area.” ICipe"My contractions wil not be as painful if I walk around.” d. "My contactions will increase in duration and intensity.” 33))The nurse in the labor room is cering fora client in the ‘acive stage Of the frst phase of labor. The nurse Is assessing te fetal patterns and notes a late deceleration on the monitor Sui Whats the most apropiate nursing acton? ‘Administer axygen via face mask. Place the mother in a supine position. TnefGse the rate of the oxytocin intravenous infusion. Document theifindings and continue to monitor the ‘etal patterns. aese 34))Alglien: in ‘abor Is tansported to the delivery room and prepared for a cesarean delivery. After the client is transferrec ‘othe delivery room table, the nurse should place the client in which position? ‘2. Supine position with a wedge Uinides the right hip b. Trendelenburg's position with the legs in stirups Prone position with the legs separated and elevated d._Semi-Fowle’s position with a pillow under the knees 35. A precnant client ass the nurse when the stretch marks Will disappear. The most appropriate response by the nurse is ‘a. “They will dsappear with the birth of the infant.” b. “They will tke up to 6 months to disappear.” {G/T THey wil facesbut do not totally disappear.” d. “They will dsappear with a nutritionally balanced diet ‘and exercise.” Situation: Gestational dabetes greaty raises preeclampsia Fists because the higher levels of sugar in the blcod cause high blood pressure to develop (WFMC Health). Because preeclampsia and gestational diabetes may cause lots of ‘complications, its important for nurses to keep an eye out for the signs and symptoms and immediately refer findings to the physician. 36. Nurse Mimay is caring for Joline who is at 30. weeks gestation, has gained 17 pounds during the pregnancy, ané hhas a blood pressure of 110/70. Jolina states that she fects warmer than everyone around Fer. Which interpretation of these findings is mosecofrect? ‘2. _Allof these findings are normal. bij) Her weight gain is excessve for this point in pregnancy. The blood pressure is abnormal. . She should be evaluated for a setious infection becalise pregnant women are usually cooler than ‘other people, 37. Consequenty, Nurse. Mimay takes Patient Jolina's vital ‘sens. Her blood pressure reads 160/94; puke rate of 88 bpm; respirationssrate of 24 cpm; and temperature of 98°F, ‘Acaitionally, Jolia complains of epigastric pain and headache. ‘What should Nurse Mimay do initialy? Insert an indwelling catheter. 6. Give Maalox30 ce now. Contact the doctor stat with findings. 4. Provide supportive care for impending canvusion 38. Magnesium sulfate is ordered for Patent Jolina for her ppregnancy-induced hypettension (PIH). What effects would ‘Nurse Mimey expect to see asa result ofthis medication? ‘a. CNS depression b. Decreased gastric acidity Onset of contractions 4. Decrease in number of bowel movements 39, If Nurse Mimay were assessing a patient with severe preeclempsia, which assessment findings would be most closely associated with a complication ofthis diagnosis? Enlargement of the breasts 3 | Pose. Complaints of feting hot when the room is cool C.Periads of fetal movement fllowed by quit periods d. Evidence of bleeding, such as in the gums, petechiae, and purpura Sttuiation: Prenatal nurses are empowered to proftiote healthy habits among prospective mothers. and assist primary care providers in promating healthy outcomes (Regs College Master Of Sdence in Nursing) 40, Which of the following should the nurseassess for a newborn infant whose mother has type'2 diabetes? a. Hypoglycemia b. Rh sensitization . ABO incompatibility 4. Hypothermia 41, Hypoglycemia may occur in @ large-for-gestational-age newborn as a resut of which of the followin a. Limited glycogen stores, b. Hyperinsulinemia Large ratio of body surface to Weight. 4. Excessive brown ft stores. 42. Based on the knowedge about gestatonal diabetes. Which of the folowing should the nurse assess in the newborn? a. Heart abnormalities . Group B beta-hemolytc strep pneumonia €. Group B beta-hemalyticstrep meningitis d._Inborn errors of metabolism 43, When admitting a newborn to the nursery, the nurse Prepares to administer erythromycin ointment to the newborn's eyes to prevent blindness caused by which of the folowing? Select all that apply: 1. Gonorrhea 1. Syphilis IIL. Herpes simplex virus IV. Hepatitis V. Chlamydia VI. Human immunodeficiency virus (HIV) a 1,V b. 1, IL UL, 1V,V, VI ct th, V a LV 44, A mutigravida elient with HIV who has recently delivered a newborn infant asks the nurse abou: the proper way to feed her newborn. Which of the following IS the correct response by the nurse: a. *YouWwill need to bottle-feed your newborn.” b. “You will need to feed your newborn by nasogastric tube feeding.” “You will be eble to breast/chest-feed for 6 months: and then will need to switch to bottle feeding,” “You will be able to breast/chest-feed for 9 months, and then will need to switch to bottlefeeding,” 45, Maria, a 40-year-old woman who i628 weeks pregnant, comes to the emergency room with painiesspbricht red bleeding of 1.5 hours duraton. What condition does the nurse suspect Maria has? a. Abruptio placenta b. Placenta previa c. Hydatidiform mole 4. Prolapsed cord 446. Maria who Is 28 weeks gestation comes to the emergency room with painless, bright red bleeding of 1.5 hours in duration. Which of the following would the nurse expect during ascesement of Maria? a. Alterations in fetal heart rate b. Board-lke uterus c. Severe abdominal pain 4. Elevated temperature 47. The common normal site of nidation/implantation in the Uterus is: a. Upper uterine portion b. Mid-uterine area Lower uterine segment d. Lower cervical segment 4B))The maternity nurse is preparing for the admission of Leila ‘who is in herthrd timester of pregnancy and is experiencing ‘vaginal bleeding andhas.2 suspected diagnos of placenta previa. The nurse reviewsethe health care provder’s prescriptions and should question wiich prescription? Prepare the client for an ultrasound, ‘Obtain equipment for a manual pelvic examination. Prepare to draw.a. hemoglobin and hematocrit blood sample, Ottain equipment for external electronic fetal heart Fate monitoring. 2 ipse ‘49, A nurse in the postpertum unit is caring for Leila who has Just delivered @ newborn infantsfollowing a pregnancy with placenta previa. The nurse reviews the plan of care and [preparesito, monitor the dient for which of the following risks ‘associated with placenta previa? @. Disseminated intravascular coagulation b. Chronic hypertension Infection @. Hemorrhage 50. Lela, who is a pregnant dient, was diagnosed with partial placenta previa. In explaining the diagrosis, the nurse tells the lent that the usual treatment for partial placenta previa is Which of the following? ‘a. Bed rest b._ Platelet infusion &Inmedate cesarean delivery d. Oxytocin-induced labor Si, Nurse Mitch is assessing Lei in the second trimester of Pregnancy who was admitted to the maternity unit with 2 suspected diagnosis of abruptio placentae. Which assessment finding should the nurse expect to note f this condition Is present? ‘Soft abdomen b. Uterine tenderness Absence of abdominal pain d._Bright red vaginal bleeding 52. To separate placenta previa from abruptio placenta, Nurse Mitch knowe that which of the following findings are includec in abruptio placenta? SATA Uterine pain’ Bright red vaginal bleeding Uterine rigidity. Soft uterus Dark red vaginal bleeding Panless uterus AIF ADE AGE CEF 53. Le isshoSpitalized for vaginal bleeding from. suspected ‘abruptio “placentae. Nurse bases the appropriate interventions on which understanding of the pathology? Placenta tears away from the cervical 0s during dilation and results in fetal hemorrhage , «Placental abruption is umbilical cord hemorrhage from trouma € Placental abruption is premature separation of the orally implanted piacenta from the uterine wal ‘d. Abruptio placentae & the rupturing of membranes along the uterine wall and the resulting loss of fetal blood and amniotic fluid B99» >panse 54, The nursing care plan for patient Lei who has placenta abruptio should indude careful assessment for signs and Symptoms of which of the following? ‘a. Jaundice b. Hypovolemic shock Impending convulsions d._ Hypertension 4 | Poge55.Since Nurse Mitch i busy, she decides to delegate client assignments in a maternity’ unit. Which of the folowing ‘assignments should Nurse Mach delegate to a licensed. practical nurse? Provide the care to 2 client suspected!/of having abruptio placentae Provide the care to a/Woman in her 37th week of gestation experiencing dyspnea c. Teach a pregnancy lass to a group of women: d. Document the characteristics of e woman's lochla 56, The nurse is explaining to a preedamotic clent how to keep track of her fetus! movements to assess fetal welHbelag. Which of the client's statements auggests that che needs further guidance on when to contact the healthcare provider concerning fetal movernent2 2. Ifthe fetus is less active than it was previcusly. ._IF it takes longer each day for the fetus to mavé ten times. When the fetus did not move fF 12 hours. d._If the fetel movement exceeds three times per hour. 57. A 16-year-old primigravd client who is 5 feet, 1 inches tal, and 30 weeks pregnant has gained 20 Ibs, with gain of 1 1) in the last two weeks. Glucose levels in the urine are negative, but a trace of protzn was seen. Which ofthe following factors inereases the client's risk for preeclampsia? 2. Total weight gain BL Short stature. c. Adolescent age group. 4. Proteinuria. 58. The nurse knows that the client needs further education when she states that preedampsia can result in vhich of the following? 2. Hydrocephalic infant, D. Abrupt placentae. ¢. Intrauterine growth retardation. 4. Poor placental perfusion. 59, The nurse determines that inctruction wat effective when the muligravid client says she will count the number of times the baby moves during which ofthe following time periods? a. 30-minute period tree times a day. 8. 45-minute perod ater inch each day. c._chour period each dy. d. 12-hour period each week. 60. Which of the following asseszment results for the patient receiving intravenous magnesium sulfate for severe preedampsia would alert the nurse to suspect hhypermagnesemia? a. Hypaactve deep tendon reflexes. b. Decreased skin tempercture 2 Rapid pulse rate. 4. Tingling in the toes 61, A-33.weel-old client with severe preeclampsiais receiving intravenous magnesium sulfate. Which of the following areithe Sesred objectives this tatent? T= $8 F,PR = 72, RR = 14 1 Unnary eutput ene on 30 Uh IIL, Fetal heart rate with late deceleration) IV. DTR2+. V.__ Magnesium level= 5.6 ma/cl. (28 mmol/l). Iv tm IV, V LNy,V inv 62, After having an edamptic seve, 2 3Sweeks pregnant dllent starts to show signs of labor. The dient should Be assessed by the nurse for 2. Abruptio placentae. b. Transverse le c. Placenta accreta 4. Uterine atony 63. The nurse is looking over the records of a multigravida dlient who is 39 weeks pregnant and may have HELP syndrome. Which of the following test results shoud the nurse inform the doctor about? 2. Platelets 200,000 mm3 (200 » 10 9 /L). b. Lactate dehydrogenese (LDH) greater than 200 U/L (334 wat). Ure acd 3 mo/dt (178.4 pmol). 4. Aspartate aminotransferase (AST) 15 UL (0.25 ykat/L) 164, Whiehyor tne folowing would wam te nurse that placenta previa is present while examinng a mutigravida client at 33 Weeks gestation who is havng significant. veginal bleeding? ‘> Panless vacnal bleeding, b. Uterine eiany. _Intermetent pain with spotting, Dull loner back pain 65, A multiravida clent at 33 Weeks. of cestation was adiitted. because of vacinal bleeding. After interviewing the Client, which ofthe following factors might lead the nurse to ‘suspect abruptio placentae? ‘2 Severalhypotensive episodes. . Previous low transverse cesarean bith. > One incuced abortion. 4. History of cocaine use 66. A multgravica clent at 24 weeks of gestation with cbruptio placentae was prescribed to receive whole blood replacement. Which ofthe folowing should the nurse perform fist before admnisterng the intravenous blood product? ‘2. Valdate client information and the blood product with another nurse b. Check the vial signe before tranefusing over Sours. Ask the client if she has ever had any afergies. @. Adminster 100" mL. of 5% dextrose solution invavenousy. 67. Vihich of the folowing would the nurse expect to deliver intravenously when caring for a multigravida cent acmited to the hospital with vaginal bleeding at 38 weeks’ gestation f the llent develops deseminated intravascular coaguation (DIC)? 2. Ringers lactate solution D. Fresh frozen platelets € 5% dextrose solution Warfarin sodium (Coumadin). 68 The nurse is caring for 2 22-year-old 2, P 2 dient who has dlsseminated intravascular coagulation after delvering 2 dead fetus. Which finding fs the highest priory to report to the health care provider? 2. Adivated partial thromboplasin tme (APTT) of 30 seconds. b, Hemogiobin of 11.5 g/dL (115 g/L), © Urnary output of 25 ml in the past hour. 4. Platelets at 149,000/mm3 (148 x 10 9 /L). 69. ThesnufS8) would put the ultrasound transducer to ‘monitor fetal heart rate in which of the folowing maternal Positions if a fetue at 25 weeks of gestation ic in the lef ‘occiput anterior postion? ‘2. Near the symphysis pubis b._Twoliiches (5.1 cm) above the umbilicus. {cif/Beow the umbilcus on the len side. d._Atthe vel ofthe umbilicus. ‘CARE FOR PREGNANT CLIENT WITH PREMATURE RUPTURE (OF MEMBRANES 70. A primigravida elent at 35 weeks of gestation went to the hospit because she believed her water had been broken ‘After testing the leaking fuid with nitrezine paper, which color ‘confirms that the client's membrane has ruptured? 2. Yelow, b. Green © Blue. d._ Red. 7. At 30 Weeks gestation, a primigravid dient was taken to the hospital due to an early rupture of the membranes without contractions. Her cervix is 50% effaced, and 2 cm dilated. The nurse needs to assess next: ‘a. Red bleod cell count. b. Degree of discomfort. Urinary output. d._ Temperature. 72. At 34 weeks gestation, a primiaravid client has 35-seconé contractions every three to four minutes. Her cervix is 50% effaced, and 2 cm dilated. Which of the following would the 5 | Pogenurse do first if the client said, "I think my bag of water just broke"? a. Check the status of the fetal heart rate, b. Turn the client to her right side. c. Test the leaking fluid with nitrazine paper. 4. Perform a sterle vaginal examination, 73. A 38-year-old mutigravida’ patient was admitted to the hospital due to ruptured ectopic pregrancy. Which of the following would be crucial for determining a_ predisposing factor when learning the client's history? 3. Urinary output. a. Recurrent urinary tract infection. b. Use of Merijuana during pregnancy. History of pelvic inflammatory disease. 4. Use of estrogen-progestin contraceptives. 74. A primigravida client was diagnosed! with ectopic Pregnancy. Which of the following medications should the nurse anticipate to be administered to the patient? a. Progestin contraceptives. b, Medraxyprogesterone, €. Methotrexate 4. Dyphyline. 75, A 38-year-old muligravida patient was admitted to the hosptal_ due to ruptured ectopic pregrancy. Which of the following would be crucial for determining a predisposing factor when learning the client's history? 3. Urinary output. 2. Recurrent urinary tract infection. 5. Use of Marijuana during pregnancy. c.History of pelvic inflammatory disease 4. Use of estrogen-progestin contraceptives. 76. A primigravidacliert was diagnosed with’ ectopic pregnancy. Which of the following medications should the nurse antcipate to be administered to the patient? a. Progestin contraceptives. >, Medroxyprogesterane, c. Methotreate, 4. Dypbyline. 77. & multigavida clent at 15 weeks of gestation was admitted to the hospital with a dagnosis of hydatidiform mole. Which of the following would the nurse assess? a. Pregnancy-induced hypertension. b.. Gestational diebetes. c. Hypothyroidism. 4. Polyeythemia.. 78, Which of the following would be the most crucial to assess for in the client following dilatation and curettage (D&C) to remove a molar pregnancy? a. Urinary tract infection, b. Hemorrhage. ©. Abdominal distention 4. Chorioamniontis. 79. & multigravida client asks the nurse as to when she can: conceive after treatment with molar pregnancy. The nurse should answer by not getting pregnant for how long? a. 6 months bL 12 months. 18 months. 4. 24 months Situation:Postpartum nurses care for new mothers from the time they leave the delivery room until they are discharged home. In addition to providing support for thelr patients’ physical and emotional needs, postpartum nurses offer education and guidance in caring for a newbom (Hamlin, 2022) 80. Nurse Tammy is monitoring Patient Jocelyn in. the immediate postpartum petiod for signs of hemorrhage. Which sion, if noted, would be an early sign of excessive blood loss? a, A temperature of 100.4 °F (38 °C) b. An increase in the pulse rate from 88 to 102 beats/minute c. A blood pressure change from 130/88 to 124/80 mam Hg . An increase in the respiratory rate from 18 to 22 breaths/minute 81. Nurse Tammy is preparing a list of self-care instructions for ‘JosElyn, who was diagnosed with masitis. Which instructions (should Be included on the list? Select al that apply. ‘Wear a supportive bra. Rest during the acute phase. Maintain ‘a uid intake of at least 2000 mi /day. ‘Continue to breastfeed if the breasts are not too Teke the préscibed antibiotics until the soreness ‘subsides. ‘Avoid decompression of the bieasts by breast-feeding 1or breast pump. ABC&D COEF AD, F Allof the above Bose 29BP ‘82. Nurse Tammy, then, provides instructions about measures ‘to prevent postpartum mastitis in the future for Jocelyn. Which response by Jocelyn would indicate a need for further instruction? ‘a. “I should breastfeed every 2 to 3 hours” b. "Ishould change the breast pads frequently.” “should wash my hands well before breastfeeding.” d._ “should wash my nipples daily with soap and water.” 83. Meanwhile, Nurse Tammy is assessing Tina, who is in the fourth stage of labor, and notes that the fundus is firm but that bleeding is excessiveWhich should be Nurse Tammy's initial action? ‘a. Record the findings. Massage the fundus. Netty the health care provider (HCP). d. Place the client in Trendelenburg's position. 84. On the other hand, Nurse Tammy notes that Patient Sismita’s uterus feels soft and boggy. Which action should Nurse Tammy take? ‘a. Document the findings. b. Elevate the clients legs. c. Massage the fundus until itis frm. d._Pustion the uterus to assist in expressing ets. Situation: Nurses pay citicel 6s in perinatalneonatal care atall levels of the health system. 85.sNUIBE Claire assisted with the bith of Patient Gloria's newborn, Fulgencio. Which nursing action & mest effective in preventing heat loss by evaporation? ‘8. Werming the erb pad ._Glasing the doors to the room {Gil Drying the infant with-a warm blanket d. Turning on the overhead radiant warmer 186. Nurse Claire proces to administer erythromycin ointment (0.5%) tothe’ eyes of Fulgencio and Patient Gloria asks her why this is performed. Which explanetion is best for Nurse Cai to provide abost neonatal ee propos? Protects the newborn's eyes from possible infections actuired while hospitalized. b, Prevents cataradss in the newborn born to a woman ‘who is susceptible to rubella. Minimizes the spread of microorganisms to the meWbom from invasive procedures during labor. ‘d. Prevents an infection caled ophthalmia neonatorum from occurring after birth in a newborn born to 2 weman with an untreated gonacaceal infection 87. Nurse Clete prepares to administer a phytonadione (vitamin K) injetion to 2 newborn. Being the curious mother that she i, Gloria asks her why Fulgencio needs the injection. What's Nurse Cire’s best response? ‘a. "Your newborn needs the medicine to develop immunity.” 6 | Pove“The medicine will protect your newoorn from being jaunciced” *Newboms have sterile bowels, and the medicine promotes the growth of bacteria in the bowel.” "Newborns are deficient in vitamin K,_andjithis injection prevents your newborn from bleeding,” 88. After giving the essential f@wborn care, Nurse Claire ascesces Fulgencio after circumcision and notes that the circumcised area is red with a small amount _ofsbldody drainage. Which nursing action Is most appropriate? a. Apply gentle pressure. b._ Reinforce the dressing, Document thefindings. 4. Contact the health care provider (HCP), 89. Which statement by Patient Gloria reflects a new mother's understanding of the teaching about the prevention of newborn abduction? a. “Lwill place my baby's arb dose to the door. b. “Some health care personnel won't have name badges.” c “Tw ask the nurse to attend to my napping and my husband is not here.’ “It's okay to allow the nurse assistant to carry my newborn to the nursery.” ant IF 1 am 4 90. After 2 while, Nurse Claire receives a telephone call to prepare for the admission of 2 43-week gestation newborn with Apgar scores of 1 and 4. In planning for admission of this newborn, what is the nurse's highest priority? a. Turnon the apnea and cardiorespiratory monitors. b. Connect the resuscitation bag to the oxygen outlet c. Set up the intravenous line with 59% dextose in water. 4. Set the radiant warmer control temperature at 36.5 °C (97.6 F). 91. After admission, Nurse Clairehas been monitoring the newborn for respiratory distress syndrome. Which assessment findings should alert Nurse Cleire to the possiblity of this syndrome? Setect al that apply. Cyanosis Tachypnea Hypotension Retrections Audible grunts Presence of a barrel chest a, B,D, &E B&F A, BD)E&F None of the above 92. After being discharged, Gloria calls the cinic and reports that when cleaning the umblical cord, she noticed that Fulgencios cord was moist and thet discharge was present, What is the most appropriate nursing instruction should Nurse Claire relay? 3, Bring the infant to the dni b. This is a normal occurrence and no filther. action is needed. Increase the number of times that the cord is deaned per day. Monitor the cord for another 24°to.48 hours and call the dinic if the discharge continues. 93, Meanwhile, Nurse Claire is planning care for 2 newborn of 2 mother with dlabetes melitus. What Is the prienity nursing consideration for this newborn? 2. Developmental delays because of excessive size >. Maintaining safety ‘because of low blood glucose levels c Choking beceuse of impeired suck and swallow reflexes Elevated body temperature because of excess fat and siycogen 94, Additionaly, Nurse Claire creates a plan of care for a woman with human immunodeficiency virus (HIV) infection and her newborn. The nurse should indude which intervention inthe plan of care? ‘a. Monitoring the newborn's vital signs routinely b. Maintaining standard precautions at all times while caring for the newborn "Initiating referral to evaluate tor bindness, deatness, learning probler's, or behavioral problems ‘d._ Instructing the breast-feeding mother regarding the treatment of the nipples with rystatin ointment 195, Nurse (laire:is_ providing instructions tp the mother of ¢ newborn with hyperbiliubinemia who is being breast-fed, \Whict ofthe following should she instruct the mother? ‘a. Feed the newborn less frequertly. ‘Bipp Continue to breast-feed every 2 to 4 hours. Switch to bottle feeding the infant for 2 weeks. d. Stop breastfeeding and switch to bottie-feeding permanently. 06. The nursé examines a collection of blood beneath the rewbomn's scalp that does not cross suture lines. The nurse rtes this ast ‘2. caput suecedaneum. b. ceshalohematoma. & octiput. di. sinciput. 97. A newborn is evaluated by the nurse after birth. Which assessment findings ‘eveal a problem and indicate the need for more evaluation? ‘a. Rosy skin color 1b. Heart rate of 138'bests per minute cNdisy breath sounds ._Anaxllary temperature of 36.5°C, or 97.7°F 98. Which of the folowing reflexes is being evaluated by the use Dy devating the infart's body slighty over the crib, lowering it abruptly, and then observing for bilateral arm extension and leg flexion? ‘a. Moro reflex b. Galant reflex & Palmar grasp dd. Babinshi refiex 99, The nurse is questioned by the parents of an infant about the need to test their child for phenyiketonuria. The nurse should respond appropriately by saying 2. Prevent mental retardation. b._ Prevent chronicling infections. Treat eonductive deainess effectively, diiTreat hematuria and proteinuia before complications develop. 100, The rurse is discussing the characteristics of nenborn ‘and toddlensstools with a group of pregnart clients. Which of therfollowing is the correct statement by the nu . Infants who are breastfed have dark yellow or tan, formed feces. '. During the first Week of le, the feces cf the newborn are brown, formed, and firm. EN For the first 24 hours, the feces passed by the newbom are black, tarry, and sticky. d._ Infants who aresformulafed have bright yellow or ‘golden colored feces, 7 | PogeTOPE * NLE *NCLEX * CGFNS * HAD * PROMETRICS * DIA RECALLS EXAI NOV 202? Philippine Nurse GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) tox foreach question on your answer sheets, Two or more boxes shaded wil ialid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of you Examines I 5. White the subject title "NURSING PRACTICE III" on the box| ‘Situation: Community/ public health nursing Is the synthesis of nursing practice and public health practice. It should be the goal of every Filipino nurse to preserve the health of the ‘community and surrounding population by focusing on health promotion and health maintenance of indviduals, families, and ‘groups within the community. 1. There are various definitions of health according to diferent sources. Murray stated that health is? a. “a state of complete physical, mental and. social wel-being ard not merely the absence of disease or infirmity.” “actualization of inherent and acquired human potential through goal-directed behavior, competent sef-care, and satistying relationship with others.” “a state of a person that is characterized by soundness or wholeness of developed human structures and of bodily and mental functoning.” “a state of wel-being in which the person is able to use purposeful, adaptive responses ‘and processes physically, mentaly, emotionaly, spiritually, and socialy.” 2. Similar to health, there af various definitions of ‘community. Accoréing to Shuster and Geoppinger, the community is? "a collection of people who interact with ond) ‘another and whose common interests or characteristics form the basis for a sense of unity oF belonging.” a group of people who share something in, common and interact with one another, who ‘may exhibit @/commitment with one another and may share a geographic boundary.” “a group of people who share. common interests, who interact with each other, end. who function collectively within 2 defined social structure to address common. concerns, “a lbcalty-besed entity, “Edmposed of systems of formal organizations. reflecting society's institutions, informal. groups, and! sggregates.” 3. In 2013, Maurer and Smith introduced two mah types of communities. Which among the following is the best definition of Phenomenological communities, except? 2. b. © It Is divided into barangays, municipalities, cities, provinces, regions, and nations. Itis 2 community that is functional. 1 refers to relational, interactive groups, in Which the place or setting ie more abstract Evi fy * LET * RADTECH * CRIMINOL( ANK EW ACADEMY * DENTISTRY * [NATION 12 ICE III CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART A) Examination Review yer Sheet Set 4 5. G__Ievefers to the setting where people share ‘aroup perspective or identity based on Curure, values, history, interests, and goals. Which among the following best desciibes the difference between community and public. health nursing? ‘2. Community health nursing refers to a service rendered by a professional nurse with communities, groups, femilies, and individisls at home, in health centers, in lies, in schools, and in places of work for the promotion of health, prevention of illness, care of the sick at home and renabiltation. b. The employer of the Pubic Health Nurses is the government. © Community health nursing is broader than public health nursing. @. Public heath nursing refers to the opulation-focused practice of nurses employed which is a service availzble to all people and is the care ofthe poor. Which among thesfollowing best desciibes the Comparisons Between Community Heath and Comm dase! Nursing? Both of them have the community as their primary clients. 'b. Community-based Nursing focuses on the preservation and protection of health El) Community-based Nursing also_emphesizes ‘managing acute and chronic diseases d. Community-based Nursing focuses on the community as clients Epidemiology is the backbone of the prevention of The following questions apply. ‘The nurse tasked to assist in the epidemiological JinveStication. Which of the folowing questions should the team ack first to guide thom in the Pes wvestgaton? Is the reasonably complete? ._ Areal of these cue tothe some disease? cI it prompt encugh so that cases reported to date represent a fairly accurate picture of the present situation? . Is there an unusual prevalence of the disease? ‘The Multi-causation theory implies that each of its components must be analyzed and understood to predict and understand the pattern of disease. The 4 | Pogefollowing are true regarding the epidemiologic triangle, except: a. | Any minor change in ary of the components will change the existing equilibrium to, increase the disease frequency. b. The organism thet harbors-afid) provides nourishment for other organisms's the host ‘The most helpful to the nurse since it aso highlights the environment in disease causation, 4. The nurse considers the coriifmunity as a host. 8. Understanding the natural history of disease wil Relp the nurse and the people institute! measures to prevent rathclogic processes from further evolving. The following are true regarding the stages of tne natural history of disease, except: a. Discemible lesion Is the stage swhifein sereming of changes occurs through laboratory tests b. In early pathogenesis, early signs and symptoms are observed to be developing. ih the advancer cisease stage, tne ‘anatomical or functional changes already created distinguishable sign and symptoms 4. In susceptibility, there are factors thet favor the incidence of disease. 9. The epidemiological approach consists of 4 phases: descriptive, analytical, intervention, and evaluation. The following are true regarding the epidemiological approach, except: a. Senstivity measures the probability of the test correctly identitying postive cases (true- positive). The attributable risk gives information regarding the absolute effect of exposure If a prospective cohort will be employed, the measure of disease frequency to be used will be the incidence rate. The retrospective cohort uses the prevalence rate as a measure of disease frequency. ‘de Screening, used in describing the disease Condition, is done to look for previously unidentified cases of diseases. 10. The Henle-Koch postulate states that 2 cause/of the diceaze any event, condition, characteristic oF combination of these factors that play an important: role in producing the disease! The following ere true regarding the concept of causality anidyassociation, Spurious. is the association when none actually exists. b. A reinforcing factor ie any reward or punishment as a consequence of a health behavior ‘The concept of associztion implies a causal relationship. ‘The enabling factor is any characteristic that makes possible a certain health behavor. SITUATION: Community organizng is the development of the ‘community's collective capacities to solve its own problems and aspire for development through its own efforts. Martha, a PHN, isa community organizer. The following questions apply. 11, As a Publc Health Nurse, Marthe is aware of the core principles of community organizing, which is first and foremost: a. A process of change is achieved in ‘community orcanizing. b. Community organizing shall empower the disadvantaged population. Community organizing is directed toward changing the current undesirable conditions, d. People are the means and ends of development. 12, Martha and the:community are said to be in the entry phase of COPAR. She is considered to be imalementing the following, except ‘a. Formally started the orgarizing process. DipeMakes 2 courtesy call to both local formal ‘and informal leaders. & Conducting an ocular survey. ‘d. Getting to know the'community and vice versa. 13, Martha knOWS)not.to consider the two strategies for ‘Ganing entry into the|community that are sald to be counter-productive, according to Manali (1990), as cited by Fariorca (2013), The strategy that is seen as the easiest way to gain the approval of the ‘community és called: ‘a. Bonga b. Padrino c Resta 1d. Sponsorship 14, Martha, being a PHN, knows the different styles of Integration according to Manall, The integration style that refers to visting the community per the schedule but is not able to transcend the guest statusis: a. “Boarder” b. “Ets” Now you see, now you don't” d. None of the options 15) Martha uses informal conversations to be able to integrate around the community. This is referred to as: Pagbabahay-bahay Huntahan Participation in the production process Participation in social activities, 16. Martha is currentlys@6Veloping the management systems and:procedures, Including the delineation of therroles, functions, and tasks of offices and members ‘of the Community Health Office. She is said to be in what COPAR phase? ‘2. Community/ofganization b. Community diagnosis Entry d. Community action 17. Martha is conditing a team building and the action- reflection-action. She is said to be in what COPAR phase? ‘2. Community organization 6. Community’dlagnosis ,_-Sustenance and strengthening d. Community action 18 Marne is in te initial identnicaton ane implementation of resource mobilization scheme. She is said to be in what COPAR phase? ‘a Community organization b. Community diagnosis _Sustenence and strengthening d. Community action 19, Martha Is formulating and ratifying the constitution and by-laws, She is said to be in what COPAR phase? ‘a. Community organization 2 | Poveb. Community diggnosis .Sustenance and strengthening 4. Community action 20, Martha with the local researcher is now_priortifing the community needs and problems for action. She is said to be in what COPAR phase? a. Community organization b. Community disgnosis . Sustenance and strengthening 4. Gommmunity action SITUATION: IMCL is @ strategy that integrates all available measures for disease prevention and health probiems'during childhood, for their early detection and effective treatment, and for promoting healthy habits within the family and community. 21, The IMCI clinical guidelines, which are -baséd!'on expett clinical opinion and research findings, are intended for the management of: 2, Sick children aged 1 week up to 5 yeas Sick children aged 1 month up to 5 years ick children aged 1 yeer upto 5 years Sick children aged 1 day up to 5 years b. © 4 22, Sasha is a child who has had a chronic cough and ificulty breathing for more than 30 days. This could, be indicatve of: a. Asthma or bronchitis b.Preumonia © Severe pneumonia 4. Influenza 23. In some cases, especially when a child has wheezing when extaling, the final decision on the presence or absence of fast breathing can be made after a test with a rapid-acting bronchodilator (if available). All but one are true inthe care of a child with wheezing: a. Give 2 puffs (100ug/puff) of salbutamol metered dose inhaler. Repeat the bronchodilator up to 3 times every 15 minutes before classifying pneumonia. IF the inhaler is being used for the first time, it should be prmed by 4.to 5 extra putts. 4. A chid under five years is usualy aiven an inhaler without a spacer. 24, Baby Jopet is reported to Bélhaving loose stools for fours days, making her mother bringyhim to the health center. Upon assessment, he was obsé'Vvea to have a sluggish behavior and does not read respond to touch, Joseph. is classified 2s a severe dehydration case. The preferred IV fluid tobe: administered is: a. IV glucose water b. 0.9% Nadi ©. 0.25% NaCl 4. Ringers Lactate Solstion 25. Nino, a child also brought to the health center, has deen experiencing diarrhea for 6 days. There Is No Blood jn the stool. He is irritable and her eyes are sunken, The rurse offered fluids and the child drinks eagerly. How would you classify Nino's illness? a. Dysentery b. Some dehydration © Severe denydration 4. No dehydration 26. Nino was reported to have no blood in his stool but in cases where blood is found int the feces of the child, the recommended antibiotic for bloody diarhea management is: ‘2. Ciprofloxacin BID for 3 days b.Nalidixic Acid QID for § days © Cotrimaxazcle BID for 3 days {dip Metronidazole BID for 3 days 27. Along with increased fluids and continued feeding, all children with dlarthea should be given: ‘BepORS for 2 weeks. 'b. Zine supplementation for 10 to 14 days Vitamin A supplementation for 2 weeks

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